Mindfulness-Based Cognitive Therapy in Major depressive disorder - systematic review and metanalysis

Abstract Introduction: MBCT practices increases the ability of concentration and attention, as well is particularly effective for people with current and treatment-resistant depression. Objective: To analyze the effects of the application of MBCT in symptoms of MDD. Methods: systematic review and...

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Main Author: Rafaela Liberali
Format: Article
Language:English
Published: Editora Champagnat
Series:Fisioterapia em Movimento
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502017000500335&lng=en&tlng=en
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author Rafaela Liberali
author_facet Rafaela Liberali
author_sort Rafaela Liberali
collection DOAJ
description Abstract Introduction: MBCT practices increases the ability of concentration and attention, as well is particularly effective for people with current and treatment-resistant depression. Objective: To analyze the effects of the application of MBCT in symptoms of MDD. Methods: systematic review and meta-analysis. To find suitable studies, we searched PubMed/MEDLINE's database using the keywords mindfulness and major depressive disorder. Studies in English published between 2003 and 2015 were selected. The studies were evaluated according to their methodological quality by PEDro scale (score greater than 3), studies that showed empirical evidence, had an experimental study design (randomized and non-randomized), and whose full text was available. For the meta-analysis, we used a random-effects model with standardized mean differences and 95% confidence intervals. Results: Fourteen es were included, of which three were non-randomized, with only one group with intervention of MBCT, and 11 were randomized studies, divided into two-group samples and three-group samples. The non-randomized studies showed a PEDro score of 5, while the two-group and three-group randomized studies showed PEDro scores of 5-10 and 6-9, respectively. In the meta-analysis, the four randomized studies selected revealed a moderate effect of MBCT on the outcome of depression symptoms, with a mean difference of -0.52 (95% CI: -1.050 to -0.002; p = 0.04). Conclusion: The MBCT presented as a promising alternative for the treatment of this disorder.
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spelling doaj.art-dacd826bb33d45cf8eef320511904b852022-12-22T03:18:10ZengEditora ChampagnatFisioterapia em Movimento1980-591830suppl 133534910.1590/1980-5918.030.s01.ar03S0103-51502017000500335Mindfulness-Based Cognitive Therapy in Major depressive disorder - systematic review and metanalysisRafaela LiberaliAbstract Introduction: MBCT practices increases the ability of concentration and attention, as well is particularly effective for people with current and treatment-resistant depression. Objective: To analyze the effects of the application of MBCT in symptoms of MDD. Methods: systematic review and meta-analysis. To find suitable studies, we searched PubMed/MEDLINE's database using the keywords mindfulness and major depressive disorder. Studies in English published between 2003 and 2015 were selected. The studies were evaluated according to their methodological quality by PEDro scale (score greater than 3), studies that showed empirical evidence, had an experimental study design (randomized and non-randomized), and whose full text was available. For the meta-analysis, we used a random-effects model with standardized mean differences and 95% confidence intervals. Results: Fourteen es were included, of which three were non-randomized, with only one group with intervention of MBCT, and 11 were randomized studies, divided into two-group samples and three-group samples. The non-randomized studies showed a PEDro score of 5, while the two-group and three-group randomized studies showed PEDro scores of 5-10 and 6-9, respectively. In the meta-analysis, the four randomized studies selected revealed a moderate effect of MBCT on the outcome of depression symptoms, with a mean difference of -0.52 (95% CI: -1.050 to -0.002; p = 0.04). Conclusion: The MBCT presented as a promising alternative for the treatment of this disorder.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502017000500335&lng=en&tlng=enMeditaçãoDepressãoTerapia ComportamentalTranstorno Depressivo Maior
spellingShingle Rafaela Liberali
Mindfulness-Based Cognitive Therapy in Major depressive disorder - systematic review and metanalysis
Fisioterapia em Movimento
Meditação
Depressão
Terapia Comportamental
Transtorno Depressivo Maior
title Mindfulness-Based Cognitive Therapy in Major depressive disorder - systematic review and metanalysis
title_full Mindfulness-Based Cognitive Therapy in Major depressive disorder - systematic review and metanalysis
title_fullStr Mindfulness-Based Cognitive Therapy in Major depressive disorder - systematic review and metanalysis
title_full_unstemmed Mindfulness-Based Cognitive Therapy in Major depressive disorder - systematic review and metanalysis
title_short Mindfulness-Based Cognitive Therapy in Major depressive disorder - systematic review and metanalysis
title_sort mindfulness based cognitive therapy in major depressive disorder systematic review and metanalysis
topic Meditação
Depressão
Terapia Comportamental
Transtorno Depressivo Maior
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502017000500335&lng=en&tlng=en
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